NPI: 1336624030 · BLACKFOOT, ID 83221 · Optometrist · NPI assigned 09/27/2018
| Authorized Official | CRANDALL, BROOKE (MANAGER) |
| NPI Enumeration Date | 09/27/2018 |
Other providers sharing the same authorized official: CRANDALL, BROOKE
| Provider | City | State | Total Paid |
|---|---|---|---|
| ENDEAVOR CHIROPRACTIC, PLLC | LIVONIA | MI | $3K |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 14 | $0.00 |
| 2021 | 26 | $17.80 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | Determination of refractive state | 40 | 40 | $17.80 |